Individual
RICHARD WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 N JUDD PL, CHANDLER, AZ 85226-8709
(602) 614-4389
Mailing address
1120 N JUDD PL, CHANDLER, AZ 85226-8709
(602) 614-4389
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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